Active NPI
Rise Up Rehab, LLC
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Helotes, TX
National Provider Identifier
1346897709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Legal business name
- RISE UP REHAB, LLC
- Practice address
- 10410 Parrigin Rd
Helotes, TX 78023-4283 - Phone
- (210) 724-0505
- NPI assigned
- Aug 21, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tiffany Dixon Gold, OT
- Title
- Administrator
- Phone
- (210) 724-0505
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | Primary |
Addresses
Primary practice location
10410 Parrigin Rd
Helotes, TX 78023-4283
Mailing address
16400 Blanco Rd
San Antonio, TX 78232-1902
Phone (210) 724-0505
Other names 1
- Rise Up Rehab, LLC - Helotes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190827001464 | TX | Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 3274861497 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Converse, TX; San Antonio, TX; Shavano Park, TX |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- San Antonio, TX
- NPI 1417504879
O20190827001464
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Castroville, TX
- NPI 1447807615
O20190827001464
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1566345600000",
"number": "1346897709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16400 BLANCO RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782321902",
"telephone_number": "210-724-0505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10410 PARRIGIN RD",
"city": "HELOTES",
"state": "TX",
"postal_code": "780234283",
"telephone_number": "210-724-0505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RISE UP REHAB, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-21",
"last_updated": "2019-08-21",
"status": "A",
"authorized_official_last_name": "GOLD",
"authorized_official_first_name": "TIFFANY",
"authorized_official_middle_name": "DIXON",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "210-724-0505",
"authorized_official_credential": "OT"
},
"taxonomies": [
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rise Up Rehab, LLC - Helotes",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Helotes, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.